Referral Forms

If you are seeking housing or are a referrer looking for the necessary resources, please choose the correct tab below. Also available are some of the most frequently asked questions regarding our programs.

For general program and intake questions not answered on this page, please contact our intake coordinator:

intake@houseofcharity.org or 612-594-2002

Day By Day Chemical & Mental Health Treatment

Day by Day Chemical Dependency and Mental Health Treatment

Day By Day is our 120-day outpatient program for women and men 18 years of age and older that offers a total quality of life approach to co-occurring Chemical and Mental Health Treatment.

To make a referral to Day by Day Co-occurring Intensive Outpatient Treatment (IOP), with the option of lodging, please fax the following documents below:

Housing Supports

Single adults who have experienced long-term homelessness are placed in rooms, in a community setting, with a roommate, or single room, if available. Individuals must meet the state’s definition of long term homelessness, in order to qualify for this option.

To make a referral to the GRH / permanent housing supports (lodging) please fax the following documents below:

Programs/Housing Frequently Asked Questions

House of Charity is a Housing Supports program that provides permanent supportive housing to single adults. Residents are in a dorm like community setting and are working towards stability. Individuals must be referred by a licensed professional, such as a Counselor, Social Worker/Case manager, or Doctor, if applicable.

Please view the other tabs to download the referral forms or have your representative contact our intake line at (612) 594-2002 to request the forms to be e-mailed.

What type of programs does House of Charity (HOC) offer?

House of Charity offers the following programs and services: Please view our brochure for more information.

Please call 612-348-4111 or 612-348-9410 to obtain information about the county process. Housing First does NOT receive direct referrals from the community. All inquiries must come from the County Office.

Please assist your representative in completing a Third Party Verification Form form (or Long-term Homeless Form). Showing documented shelter stays, living on the streets, or other places not meant for human habitation.

Forms must be signed by your representative.

How long is the approval process?

3-5 business days (excluding weekends), if all needed forms are submitted.

Do you have single rooms?

We do not hold single rooms.

Do you have a wait list?

Typically, we have a 1-2 week wait time, in our non-busy seasons.

How do I get a referral into the House of Charity?

You can request your Counselor, Case Manager or Doctor to refer you to HOC.